Provider Demographics
NPI:1881667566
Name:VOLICER, LADISLAV (MD)
Entity Type:Individual
Prefix:DR
First Name:LADISLAV
Middle Name:
Last Name:VOLICER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2337 DEKAN LN
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-5148
Mailing Address - Country:US
Mailing Address - Phone:813-909-0539
Mailing Address - Fax:
Practice Address - Street 1:2337 DEKAN LN
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-5148
Practice Address - Country:US
Practice Address - Phone:813-909-0539
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA36317207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine